March 2022

Request received

1. What has been the demand for level 2b rehabilitation services for your area? Provide data from financial year ended 2019, 2020 and 2021.
2. What service providers are you currently using to fulfil the demands in and for your area?
3. Are the providers accredited by the United Kingdom Rehabilitation Outcomes Collaborative for providing level 2b services?

Our response

1. NHS Kernow does not hold the information requested. This information may be available from the service provider. Email Royal Cornwall Hospitals NHS Trust (RCHT).
2. RCHT provide the level 2b service for Cornwall and the Isles of Scilly.
3. Yes.

Request received

1. Number of patients with a neuromuscular condition broken down by paediatric and adult patients.
2. Number of neuromuscular care advisors in the region.

Our response

NHS Kernow does not hold the information requested. For more information please email Cornwall Partnership NHS Foundation Trust.

Request received

1. Since 2012, how many services has your CCG reduced or cut across sexual and reproductive health services which it holds commissioning responsibility over?
2. In the next year, are there any planned reductions or closures across your commissioning in sexual and reproductive health services?

Our response

1. November 2016, community menopause service. Service disinvested with patients expected to be supported by their GP.
2. No.

Request received

1. Did you, or your predecessor encompassing your current geographic area, have a form of minor eye care service between 1 January 2013 and December 2019?
2. If so, what was the timescale of this service providing care? For example, when was it started, when was it stopped.

Our response

• Name: NHS Kernow Clinical Commissioning Group.
• MECS name: MECS.
• Initiation date: September 2019.
• Termination date: Not applicable.
• Currently active: Yes.

Request received

1. Does the organisation procure any additional clinical system support services on behalf of its practices?
2. Who is the procurement officer responsible for the contract?
3. Who is the director or lead within your organisation responsible for the contract?
4. Can you advise us of the breakdown of the number of practices using TPP SystmOne, EMIS Web or other system within your catchment area?
5. Are you currently going through any options appraisal processes for systems such as Ardens, Primary Care IT or DXS?
6. Who is leading on the options appraisal?

Our response

1. No.
2. NHK Kernow does not release the name of employees below director level. Simon Gittoes-Davies is the chief finance officer.
3. As above.
4. 33 EMIS; 24 TPP.
5. No.
6. Not applicable.

Request received

1. What is the termination date for the current contract?
2. Does the contract have the option to extend and if so for how long?
3. Do the commissioners plan to take up the option to extend?

Our response

1. 31 March 2023.
2. Yes, 1 year.
3. Yes.

Request received

1. Name of all commissioned providers for cataract surgery.
2. Name of all providers offering cataract surgery who are delivering through non-contracted activity.
3. Details of the referral pathway for patients who are being referred for cataract surgery. State if referrals are made to a provider directly, via the patients GP or other route of referral (if other, please provide details).
4. Confirm if you have commissioned are using an electronic eyecare referral system. If so, please confirm then name of the provider and date it is due to start.
5. For the providers detailed in your response to questions 1 and 2, provide the total number of completed cataract surgery for the periods 2020 to 2021 and 2021 to 2022 (to date).
6. For the providers detailed in your response to question 1, provide the current wait times for cataract surgery.
7. Total number of patients waiting for cataract surgery.
8. Total number of patients waiting 52 or more weeks for cataract surgery and of those how many have been waiting 104 or more weeks.
9. When is the current contract that includes cataract surgery due to expire and if there is an option to extend services? If there is an option to extend, please advise on how long for?
10. Confirm then name and contact details of the individual(s) who manage this contract.

Our response

1. Royal Cornwall Hospitals Trust and Probus Surgical Centre.
2. None within integrated care system footprint.
3. Via GP to referral assessment service.
4. eRS via GP.
5. Total number of completed cataract surgery:
   • 2020 to 2021: Royal Cornwall Hospitals Trust 1,525 and Probus Surgical Centre 978
   • 2021 to month 11 2022: Royal Cornwall Hospitals Trust 1,724 and Probus Surgical Centre 1,404
6. NHS Kernow does not hold the information about waiting times at procedure level. Referral to treatment (RTT) performance for specialty ophthalmology Royal Cornwall Hospitals Trust RTT for ophthalmology is 83.76%, Probus Surgical Centre RTT for ophthalmology is 89.78%. This is based on standard national target that indicates the % that are seen within 18 weeks.
7. 1,320.
8. 52 weeks or more is less than 5. NHS Kernow holds the information but where the numbers are less than 5, the information cannot be disclosed as it could potentially identify the individuals involved, especially if combined with other data, this would constitute a breach of the Data Protection Act 2018. Therefore, this information is exempt from disclosure under section 40(2) of the Freedom of Information Act 2000 on the grounds that it is personal information.
9. 104 or more weeks is 0.
10. 31 March 2023.
11. NHS Kernow does not release the names of employees below director level. John Groom is director for planned care.

Request received

1. According to previous FOI responses, the end date of this contract is expected be in March 2023, can you please confirm this date is still correct?
2. Has a decision been made yet on whether the framework or contract is being renewed?
3. Based on the above can you confirm when the procurement is expected to take place?

Our response

1. Yes.
2. No.
3. Not yet known. NHS Kernow advertise all opportunities on the Mercell (EU Supply) UK CTM Portal. The new supplier registration button is on the front page of the site.

Request received

1. How many passwords have been generated for the Your COVID Recovery App in 2020, 2021 and 2022?
2. How many patients have been referred to the Nuffield Health long COVID recovery programme from the CCG in 2020, 2021 and 2022?

Our response

NHS Kernow does not hold the information requested. This may be available from NHS Digital or NHS England.

Request received

1. How much was the CCG allocated from the winter access fund?
2. How much of this allocation has been spent?
3. What schemes has the winter access fund been spent on?

Our response

1. £526,000.
2. £396,595 though we expect to spend the full allocation by the end of March.
3. The funding has been spent on the following schemes:
   • increased phlebotomy clinics to support backlog
   • proactive review of vulnerable patients over the weekend
   • recovery scheme to deliver improved support for long term conditions
   • additional general practice capacity on new year bank holiday
   • community pharmacy improving access to primary care service
   • extension of emergency supply service
   • extension of minor ailments service across community pharmacy
   • additional capacity within general practice

Request received

Has the section 140 policy for your area and the local joint policy been finalised?

Our response

There is to be only 1 local joint section 140 policy, which is still being drafted. At this time it is not known when this policy will be finalised.

Request received

Provide information for 2019, 2020, 2021 and 2022 (up to 28 February).

1. How many patients died while placed in a CAMHS inpatient service?
2. How many of those in answer 1 were placed in a service, at the time of their death, run by an independent sector provider?
3. On how many occasions has a patient known to your mental health services died in the community aged 19 or under, having been discharged from a CAMHS inpatient service in the previous 12 months?
4. What percentage of your overall CAMHS spending was on tier 3 services?

Our response

1. NHS Kernow does not hold the information. NHS England commissions CAMHS inpatient services and may be to provide the information requested. Email NHS England or the provider, Cornwall Partnership NHS Foundation Trust.
2. As above.
3. NHS Kernow does not hold this information. This may be available from the provider Cornwall Partnership NHS Foundation Trust.
4. NHS Kernow does not commission a tiered mental health system in the community. This is part of a block contract for adult and children and young person services. The provider may be able to give the financial breakdown.

Request received

This request relates to Spectrum’s care home Trelawney House and new placements for Moyhay in Truro.

1. Please can you advise me when this decision was made?
2. Whether Spectrum were notified?
3. What reasons were used as justification of the actions taken?

Our response

1. 27 January 2022.
2. Spectrum were notified on 28 January 2022.
3. Services are not planned or delivered to an acceptable standard, nor has Spectrum been able to demonstrate effective recovery and improvements.

This is evidenced in the outcomes of recent inspections by the Care Quality Commission (CQC).

The CQC ratings are available on the CQC website. There are themes that appear frequently in all the CQC reports such as the environment and quality of care not being acceptable, along with staffing levels that do not meet the needs of people using the services. These themes reflect findings of joint quality visits undertaken by NHS Kernow and Cornwall Council.

NHS Kernow are required to ensure that any provider from who we commission care have signed our contract. Spectrum has not signed a contract to provide services for people that NHS Kernow fund and this is another reason that informed our decision making.

Request received

I am currently carrying out a benchmarking of waiting times and waiting lists in ASD and ADHD services across the country, and would appreciate information under the Freedom of Information Act 2000 on your local ADHD and ASD services.

Our response

NHS Kernow does not hold information on ADJD and ASD services. For more information please contact the provider, Cornwall Partnership NHS Foundation Trust.

Request received

1. How many patients that your CCG has commissioned (in or out of area) inpatient care for those with a learning disability and/or autism have unexpectedly died whilst in the care of the hospital between January 2015 and December 2021. List by year and whether the placement was in or out of the area. If possible, if the placement was out of area, give the area where the patient was placed.
2. How many of the unexpected deaths did the CCG commission a LeDeR review for?
3. For how many of the unexpected deaths was an independent review or a serious incident investigation undertaken by you or the trust, hospital or independent provider where the patient was living? Give details of what kind of review or investigation took place.
4. How many of the unexpected deaths were concluded as a suspected suicide or suicide?
5. How many of the unexpected deaths were concluded as neglect?
6. For each of the unexpected deaths that had a review or investigation, attach the review or investigation in the response.
7. How many of the unexpected deaths had an inquest and what was the conclusion of the inquest? And (if known) at the end of the inquest how many were subject to a regulation 28 (Prevent Future Death Report) by the coroner?

Our response

None. Questions 3 to 8 are not applicable.

Request received

Provide a current list of the email addresses of all practice managers within your area and the relevant GP surgeries they manage.

Our response

NHS Kernow does not employ GP staff and is unable to provide you the information requested.

Details of all GP surgeries in Cornwall are shown on our primary care network webpage. You can use this information to obtain the contact details for the practice manager for each GP surgery from their own websites.

Request received

1. Name of each GP practice that closed in 2021 and had its patient list dispersed?
2. List size of each practice.
3. Date of closure?
4. Name of each practice branch that closed in 2021 as a result of mergers?
5. List size of the practice branch that closed as a result of mergers?
6. Date of closure?
7. Name of each practice branch that has closed in 2021 not as a result of mergers?
8. List size of the practice branch that closed not as a result of mergers?
9. Date of closure?

Our response

None. No practices closed in 2021.

Request received

Please provide the following:

1. Risk management strategy.
2. Risk management policy, if this is a separate document to the strategy.
3. Risk appetite statement.
4. Approach to risk tolerance.
5. Minutes and any associated papers from the last meeting where your board of directors reviewed the trust’s risk appetite statement and setting the risk tolerance levels within the organisation.
6. Corporate risk register report.
7. Board assurance framework.
8. Risk management internal audit report.
9. Confirm how your organisation records risk. Do you use a system? If so which system, for example in-house, Ulysses, Datix, Radar, or do you use excel spreadsheets?
10. Risk management role structure within your organisation including the banding of these roles.

Our response

1. Our risk management policy and strategy is published on our website.
2. Not applicable.
3. This is contained within the policy.
4. As above.
5. Minutes and papers of the Governing Body relating to this matter are published on our website.
6. The policy was last considered by the Governing Body in February 2021. Noting no significant changes were planned and agreeing therefore that ratification could be carried out outside the Governing Body. Prior to this the risk appetite and tolerance were reviewed Governing Body development session in January 2018. Development sessions are not minuted, but the outcomes of the session are contained within the policy.
7. The last corporate risk register report went to our Governing Body in December 2021. Our Governing Body papers are published on our website.
8. Governing Body Assurance Framework was reported to our Governing Body in December 2021. Our Governing Body papers are published on our website. NHS Kernow can confirm in line with section 1 of the act that the information is held by the organisation. NHS Kernow exempts the release of the information requested under section 43(2) of the act. Disclosure would be likely to prejudice the commercial interests of any legal person (an individual, a company, the public authority itself or any other legal entity). However, please note the result of the risk management audit is reported to the Governing Body. It can be found in the Governing Body assurance framework papers as well as in each year’s annual report.
9. In-house system.
10. Information on the risk management structures within NHS Kernow is contained within the roles and responsibilities section of the risk management policy. We do not release the bandings or pay grades for staff. Director salaries are published as part of our annual reports. The last annual report for 2020 to 2021 can be found on our website.

Request received

This request relates to FOI 90490, received on 14 July 2021. The requestor is asking for an update on primary care networks.

Our response

There is no further update since the responses issued in July and August 2021.

Information about our primary care networks is available on our website.

Request received

1. Provide the number of allegations reported within your trust, clinical commissioning group or other care setting as defined, of rape, sexual assault, harassment or misconduct.
2. Advise the location of these offences and or alleged offences broken down by location.
3. Provide this data for the last 3 years to date.
4. Provide a month by month and location.
5. Identify if these allegations are on staff carried out by a staff member or by a patient or visitor, by staff on a patient or visitor.
6. For each of these allegations please advise if a suspect was identified and or arrested.
7. If a suspect was identified and the suspect was identified as a member or staff or a contractor, what was the outcome? Was the suspect subsequently arrested, charged or convicted? Was the suspect subsequently investigated, suspended or dismissed?

Our response

Zero. Questions 2 to 7 not applicable.